| Premier Vision Partners | |
|
5391 Highway 53 Ste 102, Braselton, GA 30517-3136 | |
| (706) 658-0270 | |
| Not Available |
| Full Name | Premier Vision Partners |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5391 Highway 53 Ste 102, Braselton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376213165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Karen M Canupp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346211679 PECOS PAC ID: 3870596752 Enrollment ID: I20060815000022 |
| Provider Name | Darrell A Sorah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679577258 PECOS PAC ID: 6608879580 Enrollment ID: I20111107000583 |
| Provider Name | Staci Harwell Tebbetts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417485715 PECOS PAC ID: 4981978368 Enrollment ID: I20170923000321 |
| Provider Name | Sean Francis Pinard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891224069 PECOS PAC ID: 7719256221 Enrollment ID: I20210928001268 |
| Provider Name | Kelly Heren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740630466 PECOS PAC ID: 9032480017 Enrollment ID: I20220127003082 |
| Provider Name | Jennifer Slotwinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639325780 PECOS PAC ID: 2264563477 Enrollment ID: I20230515000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vision Partners 279 N Broad St Ste C, Winder, GA 30680-2589 Ph: (770) 867-2505 | Premier Vision Partners 5391 Highway 53 Ste 102, Braselton, GA 30517-3136 Ph: (706) 658-0270 |
Steven Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5777 Old Winder Hwy, Braselton, GA 30517 Phone: 770-534-5305 | |
Dr. Jennifer G. Slotwinski, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5391 Highway 53 Ste 102, Braselton, GA 30517 Phone: 706-658-0270 | |
Dr. Jennifer Song Badaracco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5777 Old Winder Hwy, Braselton, GA 30517 Phone: 770-965-5101 | |
Clarkson Optometry Georgia Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5777 Old Winder Hwy, Braselton, GA 30517 Phone: 636-200-4393 Fax: 770-965-5102 |